Winding Trails Post Acute

In the surveyor’s words

From the most serious findings on record at Winding Trails Post Acute, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Apr 19, 2022

  Based on observations, record review and interviews, the facility failed to ensure infection control practices were established and maintained to provide a safe, sanitary and comfortable environment and to help prevent the possible development and transmission of Coronavirus (COVID-19) and other communicable diseases and infections. Record review revealed the facility has been in outbreak status since late December 2021. Specifically, the facility was in outbreak status as of 12/23/21 when a staff member tested positive for COVID-19. On 12/27/21, another staff member tested positive for COVID-19. […]

• Immediate jeopardy, widespreadF886Apr 19, 2022

  Based on observations, record review and interviews, the facility failed to test staff, including individuals providing services under arrangement for Coronavirus (COVID-19). Specifically, the facility had been in a COVID-19 outbreak status since 12/23/21 that included positive cases for both residents and staff. The facility failed to conduct bi weekly PCR testing for all staff per the CDC and CMS guidance due to outbreak status since 12/23/21, to ensure the virus did not spread to residents within the facility. The facility failed to protect individuals, equipment and supplies, allowing individual and testing items within six feet of the testing area and each other. […]

• Immediate jeopardy, widespreadF888Apr 19, 2022

  Based on observations, record review and interviews, the facility failed to develop and implement a COVID-19 staff vaccination process to address all facility staff, including unvaccinated staff who provided care, treatment and other services to facility and/or residents. Specifically, the facility failed to monitor each contracted staff member's vaccination status to ensure proper advanced PPE (personal protective equipment) strategies (as indicated in the facility's policy and procedure) were used to prevent the spread of COVID-19. The facility was unable to provide a listing of the vaccination status of all contracted providers/staff who enter the facility on a regular basis and provide direct care to residents. […]

• Immediate jeopardy, isolatedF689Mar 7, 2024

  Based on observations, interviews, and record review, the facility failed to provide an environment as free of accident hazards as possible and failed to ensure residents received adequate supervision and assistance devices to prevent accidents for nine (#1, #2, #3 #14, #15, #21, #33, #34 and #38) of 17 residents reviewed for accident hazards out of 38 sample residents. I. Facility failure to prevent elopement and implement a comprehensive and effective approach to prevent further elopement created a situation of immediate jeopardy for serious harm. Resident #1 and Resident #2 eloped from the facility together on 2/19/24 between 9:30 a.m. and 10:00 a.m. Both residents were assessed by the facility to be at risk for elopement and had orders to wear a wander-prevention device. […]

• Immediate jeopardy, isolatedF686Apr 19, 2022

  Based on observations, record review and interviews, the facility failed to implement interventions and provide appropriate treatments to prevent the development and worsening of pressure injuries for three (#6, #40 and #282) of six residents reviewed for pressure injuries out of 33 sample residents. Resident #6 had resided in the facility since 2017 for long term care. The resident had [CONDITION(S)], [CONDITION(S)], and diabetes type 2. He wore custom modified orthopedic boots on both legs due to the acquired absence of his right foot. Record review revealed the facility did not ensure the resident's feet were monitored daily before and after a boot modification for tissue damage or signs of pressure or rubbing to prevent skin breakdown. […]